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HomeMy WebLinkAboutF2020-0071 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ay. * 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 7 1 H �.. Permit Counter Phone (949)644-3288 Job Address: 2161 SAN JOAQUIN HILLS RD NB Inspector Area: FIRE Owner: AVIATION CORP SCHILLING Address: 400 SPECTRUM DR STE 1660 IRVINE, CA 92618 Phone: Applicant: SMITH THOMAS Address: 1451 WEST LAMBERT RD Occupancy Group: LA HABRA, CA 90631 Phone: 562-691.0918 Code Edit: 2016 BT30043739 Type of Construction: V -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation: $35,000.00 FIRE Permit: F2020-0071 Project No : 0314-2020 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS (168) HEADS (X2019.3378) Legal Description: P BK 54 PG 23 PAR 1 Contractor: ADVANCE FIRE PROTECTION CO Address: 1451 W LAMBERT ROAD LA HABRA CA 90631 Phone: 562-691-0918 Con State Lie: 259936 Lie Expire: 04/30/2021 Bus Lie: BT30043739 Lie Exp Date: 06/30/2020 Worker's Compensation Insurance Carrier: EVEREST PREMIER INS Policy No: 530004697 Expire: 12/0112020 Issued Date: 03/2412020 Setback- Front: Rear: Left: Right: Architect: Address: Phone: Engineer: Address: Phone: VCI State Lic: State Lie: Designer: SMITH THOMAS Address: 1451 WEST LAMBERT RD Building Overtime PC Fee: LA HABRA, CA 90631 Phone: 562.691-0918 Special Conditions: 4� t1 t� , � �tOg) c, FEES LANDSLIDE AREA -A ILA -HoAu�t{�3 Building PC Fee: $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee : $0.00 $0.00 Fire Plan Check Fee: $472.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee: $677.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $1,155.00 Plan Check Fee : $434.00 Fee Due at Permit Issuance : $721.00 PROCESSED BY: • ° • • • •BTHERbE PPAMENT: m ZONING APPROVAL:erA •o m • r o o.�, °N CTFLEI:K`EU BY:: BB FIRE APPROVAL: � APPROVALTOISSUE: o�m • oam oma• ••o 0 0 9 PERMIT EXPIRES 180 DAYS Ai7TER1ISSIJANQf G-RkAST®VA4LID INSPECTION o .,a oo m. o q eoe a• DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION ''�� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7009) of Division 3 of the Business and Professi?a ode, a ell I nseis in full force nd effect.�r"� icense Class License No Date I-� Contractor Signature CORKERS' COMPENSATION DECLARATION i v 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th eljbrmance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My workers' ne of Agent W 14A certify that, in the performance of if I should becomes bject tothe i rature of ApplicanE Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and iq`s'af-Section 3700 of the Labor Code, I shall forthwith comply with those pvisio�nnss. ;reby affirm under Analty of perjury that there is a construct—n lending agency for the performance of the work for which this permit is ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is c rect. I agree to comply with all applicable city and county ordinancgsd slat" I authorize representatives of this city or countyh enter.ttris � qv-Identifiec ACTION I PERMITEXPIREO I I • I I PERMIT CANCELLED I I 1 PERMIT FINAL CERTfFICATE OF OCCUPANCYISSUED is relating to building construction. property for inspection purposes. Print Prooertv Owner's or Authorized TiTERAj7Wq 1t}lTJOr}(SVA$r 61 OFTITLE40AND AQMDR&LE1403. - : FICATION ro :0.1!iUbAdTT bASD&S*TTO., ❑ EPA.. ••• , ❑ AQMD ASBESTOS NONRCARONIS NOT APPLICABLE TO 4+•.O QEdDO[I7:014 ; il(34117LiRb•: '• •. (Section 3097, Civil Code). 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